Michael J Lehmiller, D.D.S.
Individual provider Active NPI General Practice Dentistry · North Industry, OH
NPI 1235152018 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1235152018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 30.014965 (OH)
- Practice address
- 5120 Wiseland Ave SE
North Industry, OH 44707-1062 - Phone
- (330) 484-6666
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.014965 | OH | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.014965 | OH | Yes |
Addresses
Primary practice location
5120 Wiseland Ave SE
North Industry, OH 44707-1062
Mailing address
5120 Wiseland Ave SE
North Industry, OH 44707-1062
Phone (330) 484-6666
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.